JAQ L ZUIDEMA LCSW, ASDCS, TIYT
Accepted Insurance for NPI 1043749310
Social Worker - Clinical in Chicago, IL

Active since June 08, 2017
4000 W MONTROSE AVE # 790, CHICAGO, IL 60641(918) 558-0338 Get Directions

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Oct 8, 2024, Sep 20, 2022 and 2 more (5 updates tracked since 2017).

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

JAQ L ZUIDEMA LCSW, ASDCS, TIYT, a social worker provider in Chicago, IL, is listed as in-network for 246 health insurance plans from 7 insurance companies, led by UnitedHealthcare, Ambetter from Arkansas Health & Wellness and Blue Cross and Blue Shield of Oklahoma. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
7
Insurance Companies
246
Plan Options
4
Network Types
UnitedHealthcare
Largest Network · 59 plans
View plans
176 plans · 246 plan IDs · 2026 plan year

Ambetter from Arkansas Health & Wellness

31 plans · Individual market · listed as Preferred

Choice Bronze HSA (QualChoice)

BronzePOSArkansas
Plan ID70525AR0070285

Complete Gold + Vision + Adult Dental

GoldPPOArkansas
Plan ID62141AR0100014

Complete Gold

GoldPPOArkansas
Plan ID62141AR0080014

Connected Silver (QualChoice) + Vision + Adult Dental

SilverPOSArkansas
Plan ID70525AR0210001

Connected Silver (QualChoice)

SilverPOSArkansas
Plan ID70525AR0070261

Connected Silver (QualChoiceLife) + Vision + Adult Dental

SilverPPOArkansas
Plan ID37903AR0160003

Connected Silver (QualChoiceLife)

SilverPPOArkansas
Plan ID37903AR0070025

Connected Silver + Vision + Adult Dental

SilverPPOArkansas
Plan ID62141AR0100007

Connected Silver

SilverPPOArkansas
Plan ID62141AR0080007

Elite Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100026

Elite Bronze

BronzePPOArkansas
Plan ID62141AR0080026

Elite Gold (QualChoice) + Vision + Adult Dental

GoldPOSArkansas
Plan ID70525AR0210002

Elite Gold (QualChoice)

GoldPOSArkansas
Plan ID70525AR0070268

Elite Gold (QualChoiceLife) + Vision + Adult Dental

GoldPPOArkansas
Plan ID37903AR0160002

Elite Gold (QualChoiceLife)

GoldPPOArkansas
Plan ID37903AR0070031

Everyday Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100017

Everyday Bronze

BronzePPOArkansas
Plan ID62141AR0080017

Standard Expanded Bronze (QualChoice)

BronzePOSArkansas
Plan ID70525AR0070287

Standard Expanded Bronze + Vision + Adult Dental

BronzePPOArkansas
Plan ID62141AR0100033

Standard Expanded Bronze

BronzePPOArkansas
Plan ID62141AR0080032

Standard Gold (QualChoice) + Vision + Adult Dental

GoldPOSArkansas
Plan ID70525AR0210003

Standard Gold (QualChoice)

GoldPOSArkansas
Plan ID70525AR0070289

Standard Gold (QualChoiceLife) + Vision + Adult Dental

GoldPPOArkansas
Plan ID37903AR0160001

Standard Gold (QualChoiceLife)

GoldPPOArkansas
Plan ID37903AR0070034

Standard Gold + Vision + Adult Dental

GoldPPOArkansas
Plan ID62141AR0100035

Standard Gold

GoldPPOArkansas
Plan ID62141AR0080034

Standard Silver (QualChoice) + Vision + Adult Dental

SilverPOSArkansas
Plan ID70525AR0210005

Standard Silver (QualChoice)

SilverPOSArkansas
Plan ID70525AR0070288

Standard Silver (QualChoiceLife)

SilverPPOArkansas
Plan ID37903AR0070033

Standard Silver + Vision + Adult Dental

SilverPPOArkansas
Plan ID62141AR0100034

Standard Silver

SilverPPOArkansas
Plan ID62141AR0080033

Ambetter from Home State Health

16 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110010

Complete Gold

GoldEPOMissouri
Plan ID99723MO0090016

Complete Silver + Vision + Adult Dental

SilverEPOMissouri
Plan ID99723MO0110013

Complete Silver

SilverEPOMissouri
Plan ID99723MO0090011

Elite Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110053

Elite Bronze

BronzeEPOMissouri
Plan ID99723MO0090053

Everyday Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110009

Everyday Bronze

BronzeEPOMissouri
Plan ID99723MO0090018

Everyday Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110063

Everyday Gold

GoldEPOMissouri
Plan ID99723MO0090063

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOMissouri
Plan ID99723MO0110070

Standard Expanded Bronze

BronzeEPOMissouri
Plan ID99723MO0090069

Standard Gold + Vision + Adult Dental

GoldEPOMissouri
Plan ID99723MO0110072

Standard Gold

GoldEPOMissouri
Plan ID99723MO0090071

Standard Silver + Vision + Adult Dental

SilverEPOMissouri
Plan ID99723MO0110027

Standard Silver

SilverEPOMissouri
Plan ID99723MO0090070

Ambetter from Sunflower Health Plan

16 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120047

Elite Bronze

BronzeEPOKansas
Plan ID34368KS0110047

Elite Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120068

Elite Gold

GoldEPOKansas
Plan ID34368KS0110066

Everyday Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120043

Everyday Bronze

BronzeEPOKansas
Plan ID34368KS0110043

Everyday Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120033

Everyday Gold

GoldEPOKansas
Plan ID34368KS0110033

Focused Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120053

Focused Silver

SilverEPOKansas
Plan ID34368KS0110053

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120069

Standard Expanded Bronze

BronzeEPOKansas
Plan ID34368KS0110068

Standard Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120071

Standard Gold

GoldEPOKansas
Plan ID34368KS0110070

Standard Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120070

Standard Silver

SilverEPOKansas
Plan ID34368KS0110069

Ambetter from Superior HealthPlan

12 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOTexas
Plan ID29418TX0160020

Complete Gold

GoldEPOTexas
Plan ID29418TX0140064

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverEPOTexas
Plan ID29418TX0160053

Enhanced Diabetes Care Silver with $0 Drug Options

SilverEPOTexas
Plan ID29418TX0140049

Everyday Gold + Vision + Adult Dental

GoldEPOTexas
Plan ID29418TX0160102

Everyday Gold

GoldEPOTexas
Plan ID29418TX0140102

Focused Silver + Vision + Adult Dental

SilverEPOTexas
Plan ID29418TX0160100

Focused Silver

SilverEPOTexas
Plan ID29418TX0140100

Standard Gold + Vision + Adult Dental

GoldEPOTexas
Plan ID29418TX0160052

Standard Gold

GoldEPOTexas
Plan ID29418TX0140109

Standard Silver + Vision + Adult Dental

SilverEPOTexas
Plan ID29418TX0160054

Standard Silver

SilverEPOTexas
Plan ID29418TX0140108

Ambetter of Oklahoma

20 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130006

Elite Bronze

BronzePPOOklahoma
Plan ID62505OK0120006

Elite Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130017

Elite Gold

GoldPPOOklahoma
Plan ID62505OK0120016

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130023

Enhanced Asthma/COPD Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120023

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130024

Enhanced Diabetes Care Silver with $0 Drug Options

SilverPPOOklahoma
Plan ID62505OK0120024

Everyday Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130002

Everyday Bronze

BronzePPOOklahoma
Plan ID62505OK0120002

Everyday Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130014

Everyday Gold

GoldPPOOklahoma
Plan ID62505OK0120014

Focused Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130012

Focused Silver

SilverPPOOklahoma
Plan ID62505OK0120012

Standard Expanded Bronze + Vision + Adult Dental

BronzePPOOklahoma
Plan ID62505OK0130019

Standard Expanded Bronze

BronzePPOOklahoma
Plan ID62505OK0120019

Standard Gold + Vision + Adult Dental

GoldPPOOklahoma
Plan ID62505OK0130021

Standard Gold

GoldPPOOklahoma
Plan ID62505OK0120021

Standard Silver + Vision + Adult Dental

SilverPPOOklahoma
Plan ID62505OK0130025

Standard Silver

SilverPPOOklahoma
Plan ID62505OK0120020

Blue Cross and Blue Shield of Oklahoma

22 plans · Individual market

Blue Advantage Bronze PPO? 202

BronzePPOOklahomaBlue Advantage PPO
Plan IDs87571OK035007087571OK035009187571OK035009287571OK035009387571OK0350094

Blue Advantage Bronze PPO? 203

BronzePPOOklahomaBlue Advantage PPO
Plan IDs87571OK035006887571OK035008387571OK035008487571OK035008587571OK0350086

Blue Advantage Bronze PPO? Standard

BronzePPOOklahomaBlue Advantage PPO
Plan IDs87571OK035017687571OK035021987571OK035022087571OK035022187571OK0350222

Blue Advantage Gold PPO? 309

GoldPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035009787571OK035010687571OK035010787571OK035010887571OK0350109

Blue Advantage Gold PPO? 604

GoldPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035011887571OK035012787571OK035012887571OK035012987571OK0350130

Blue Advantage Gold PPO? Standard

GoldPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035017887571OK035022787571OK035022887571OK035022987571OK0350230

Blue Advantage Silver PPO? 204

SilverPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035006987571OK035008787571OK035008887571OK035008987571OK0350090

Blue Advantage Silver PPO? 501

SilverPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035011587571OK035023987571OK035024087571OK035024187571OK0350242

Blue Advantage Silver PPO? Standard

SilverPPOOklahomaBlue Advantage PPO
Plan IDs87571OK035017787571OK035022387571OK035022487571OK035022587571OK0350226

Blue Preferred Bronze PPO? Standard

BronzePPOOklahomaBlue Preferred PPO
Plan IDs87571OK035017387571OK035019187571OK035019287571OK035019387571OK0350194

Blue Preferred Gold PPO? Standard

GoldPPOOklahomaBlue Preferred PPO
Plan IDs87571OK035017187571OK035019987571OK035020087571OK035020187571OK0350202

Blue Preferred Security PPO? 200

PPOOklahomaBlue Preferred PPO
Plan IDs87571OK035016587571OK035020387571OK035020487571OK035020587571OK0350206

Blue Preferred Silver PPO? Standard

SilverPPOOklahomaBlue Preferred PPO
Plan IDs87571OK035017287571OK035021587571OK035021687571OK035021787571OK0350218

MyBlue Bronze HMO? 902

BronzeHMOOklahomaMyblue HMO
Plan IDs87571OK051008187571OK051008287571OK0510083

MyBlue Bronze HMO? 904

BronzeHMOOklahomaMyblue HMO
Plan IDs87571OK051008487571OK051008587571OK0510086

MyBlue Bronze HMO? Standard

BronzeHMOOklahomaMyblue HMO
Plan IDs87571OK051007887571OK051007987571OK0510080

MyBlue Gold HMO? 704

GoldHMOOklahomaMyblue HMO
Plan IDs87571OK051005787571OK051006087571OK0510093

MyBlue Gold HMO? 804

GoldHMOOklahomaMyblue HMO
Plan IDs87571OK051007187571OK051007387571OK0510103

MyBlue Gold HMO? Standard

GoldHMOOklahomaMyblue HMO
Plan IDs87571OK051006387571OK051006687571OK0510095

MyBlue Silver HMO? 705

SilverHMOOklahomaMyblue HMO
Plan IDs87571OK051005887571OK051006187571OK0510097

MyBlue Silver HMO? 803

SilverHMOOklahomaMyblue HMO
Plan IDs87571OK051007087571OK051007287571OK0510101

MyBlue Silver HMO? Standard

SilverHMOOklahomaMyblue HMO
Plan IDs87571OK051006487571OK051006787571OK0510099

UnitedHealthcare

59 plans · Individual market · listed as Non Preferred

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

BronzeHMOTexas
Plan ID40220TX0080031

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

BronzeEPOKansas
Plan ID94968KS0090015

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

BronzeHMOOklahoma
Plan ID45480OK0050035

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

BronzeEPOKansas
Plan ID94968KS0100004

UHC Bronze Essential ($0 Virtual Urgent Care)

BronzeHMOTexas
Plan ID40220TX0080045

UHC Bronze Essential (No Referrals)

BronzeEPOKansas
Plan ID94968KS0090021

UHC Bronze Essential (No Referrals)

BronzeHMOOklahoma
Plan ID45480OK0050039

UHC Bronze Standard (No Referrals)

BronzeEPOKansas
Plan ID94968KS0090013

UHC Bronze Standard (No Referrals)

BronzeHMOOklahoma
Plan ID45480OK0050030

UHC Bronze Standard+ (Dental + Vision)

BronzeHMOTexas
Plan ID40220TX0090005

UHC Bronze Standard+ (Dental + Vision, No Referrals)

BronzeEPOKansas
Plan ID94968KS0100007

UHC Bronze Standard+ (Dental + Vision, No Referrals)

BronzeHMOOklahoma
Plan ID45480OK0110005

UHC Bronze Standard

BronzeHMOTexas
Plan ID40220TX0080015

UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

GoldEPOKansas
Plan ID94968KS0090019

UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

GoldHMOTexas
Plan ID40220TX0080028

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

GoldHMOOklahoma
Plan ID45480OK0050038

UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

GoldEPOKansas
Plan ID94968KS0100001

UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

GoldHMOTexas
Plan ID40220TX0090002

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

GoldHMOOklahoma
Plan ID45480OK0110001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

GoldEPOKansas
Plan ID94968KS0090018

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

GoldHMOOklahoma
Plan ID45480OK0050034

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)

GoldHMOTexas
Plan ID40220TX0080055

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

GoldEPOKansas
Plan ID94968KS0100006

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

GoldHMOTexas
Plan ID40220TX0090008

UHC Gold Standard (No Referrals)

GoldEPOKansas
Plan ID94968KS0090003

UHC Gold Standard (No Referrals)

GoldHMOOklahoma
Plan ID45480OK0050028

UHC Gold Standard

GoldHMOTexas
Plan ID40220TX0080024

UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded

BronzeHMOTexas
Plan ID40220TX0080032

UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision)

BronzeHMOTexas
Plan ID40220TX0090006

UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)

GoldHMOTexas
Plan ID40220TX0080034

UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision)

GoldHMOTexas
Plan ID40220TX0090009

UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded

SilverHMOTexas
Plan ID40220TX0080033

UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision)

SilverHMOTexas
Plan ID40220TX0090007

UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

BronzeHMOTexas
Plan ID70754TX0020002

UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

BronzeHMOTexas
Plan ID70754TX0030001

UHC Sanitas Bronze Standard

BronzeHMOTexas
Plan ID70754TX0020001

UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

GoldHMOTexas
Plan ID70754TX0020009

UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)

GoldHMOTexas
Plan ID70754TX0020006

UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

GoldHMOTexas
Plan ID70754TX0030003

UHC Sanitas Gold Standard

GoldHMOTexas
Plan ID70754TX0020005

UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

SilverHMOTexas
Plan ID70754TX0020004

UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

SilverHMOTexas
Plan ID70754TX0030002

UHC Sanitas Silver Standard

SilverHMOTexas
Plan ID70754TX0020003

UHC Sanitas Silver Value ($0 Virtual Urgent Care)

SilverHMOTexas
Plan ID70754TX0020008

UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

SilverEPOKansas
Plan ID94968KS0090016

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)

SilverHMOTexas
Plan ID40220TX0080026

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

SilverHMOOklahoma
Plan ID45480OK0050037

UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

SilverEPOKansas
Plan ID94968KS0100002

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

SilverHMOTexas
Plan ID40220TX0090001

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

SilverHMOOklahoma
Plan ID45480OK0110002

UHC Silver Standard (No Referrals)

SilverEPOKansas
Plan ID94968KS0090008

UHC Silver Standard (No Referrals)

SilverHMOOklahoma
Plan ID45480OK0050029

UHC Silver Standard

SilverHMOTexas
Plan ID40220TX0080020

UHC Silver Value ($0 Virtual Urgent Care)

SilverHMOTexas
Plan ID40220TX0080025

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

SilverHMOOklahoma
Plan ID45480OK0050036

UHC Silver Value ($0 Virtual Urgent Care, No Referrals)

SilverEPOKansas
Plan ID94968KS0090004

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

SilverHMOOklahoma
Plan ID45480OK0110004

UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)

SilverHMOTexas
Plan ID40220TX0090004

UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

SilverEPOKansas
Plan ID94968KS0100005
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Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does JAQ L ZUIDEMA LCSW, ASDCS, TIYT accept?

Marketplace files for the 2026 plan year list JAQ L ZUIDEMA LCSW, ASDCS, TIYT as in-network for 246 plans from 7 insurance companies. The largest networks are UnitedHealthcare (59 plans), Ambetter from Arkansas Health & Wellness (31 plans), Blue Cross and Blue Shield of Oklahoma (22 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is JAQ L ZUIDEMA LCSW, ASDCS, TIYT enrolled in Medicare?

The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.

What network types does JAQ L ZUIDEMA LCSW, ASDCS, TIYT participate in?

The accepted plans include 59 EPO plans, 54 PPO plans, 53 HMO plans and 10 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.